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Effect of subanesthetic dose esketamine on perioperative neurocognitive impairment and cerebral blood flow in elderly thoracic patients

Effect of subanesthetic dose esketamine on perioperative neurocognitive impairment and cerebral blood flow in elderly thoracic patients

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400082996
Enrollment
Unknown
Registered
2024-04-12
Start date
2024-04-12
Completion date
Unknown
Last updated
2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung cancer patient

Interventions

Experimental group :Esketamine was given intravenously before incision. Anesthesia was maintained with an esketamine pump
Control group:Routine induction and maintenance

Sponsors

Yantai Yuhuangding Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: ?BMI should be 18 ~ 25kg/m^2, ASA grade I ~ ?, and operation time should be longer than 1 hour. ? Age 50-75 years old; ? Patients to be selected for thoracoscopic thoracoscopic surgery with single lung ventilation ? Agree to participate in clinical trial observation and can cooperate with the regular interview

Exclusion criteria

Exclusion criteria: ? According to the ESketamine application guidelines, there are contraindications in the application of esketamine ? Have a history of cerebrovascular disease or craniocerebral surgery ? Carotid artery ultrasonic occlusion > 50% ? The middle cerebral artery vessels of the patient were not detected during the operation ? Recent use of drugs that may affect intracranial pressure, such as glucocorticoids

Design outcomes

Primary

MeasureTime frame
Perioperative neurocognitive impairment score;Middle cerebral artery flow velocity;Mini-Mental State Examination, MMSE;

Secondary

MeasureTime frame
End of surgery. - Time to extubation;Vasoactive drug dosage;PACU residence time;FLACC pain score immediately after extubation;The Riker sedation-agitation score assesses the degree of agitation;Postoperative adverse reactions;

Countries

China

Contacts

Public ContactMa Jiahai

The Affiliated Yantai Yuhuangding Hospital of Qingdao University

mjh-214@163.com+86 136 5645 6186

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026